North Brevard Medical Support, INC

NPI #1295409928 in Port St John, Florida

Provider Information

NPI Number: 1295409928
Entity Type: Organization
Organization Name: North Brevard Medical Support, INC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Aug 5, 2021
Last Updated: Aug 5, 2021

Practice Location

Address: 5005 PORT ST JOHN PKWY STE 2200
City: Port St John
State: Florida
ZIP Code: 32927-4305
Phone: (321) 633-8663

Authorized Official

Name: KENT ANDREW BAILEY
Title: VP FINANCE
Phone: (321) 268-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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